# ZENA AREA COMMUNITY CLINIC, PLLC, MARCIA MATTHEWS SOLE MEMBER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Zena Area Community Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639689185
- **Authorized official:** DR. MARCIA KAY MATTHEWS MD (SOLE MEMBER OF S CORPORATION IN OK)
- **Authorized official phone:** (918) 919-2272

## Contact information

- **Practice address:** 37940 US HWY 59 N, JAY, OK 74346-7434
- **Practice address phone:** (918) 964-6425
- **Practice address fax:** (918) 786-2402
- **Mailing address:** 52390 E 333 RD, JAY, OK 74346-5198
- **Mailing address phone:** (918) 919-2272
- **Mailing address fax:** (918) 786-2402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 19451 | OK | Yes |
| 261QU0200X | Urgent Care Clinic/Center | 19451 | OK | — |

## Other

- **Enumeration date:** 10/10/2017
- **Last updated:** 10/10/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100124760A21 | — | OK |